Provider Demographics
NPI:1265605687
Name:BEST DRUG STORE OF NORTH-CENTRAL ARKANSAS INC
Entity type:Organization
Organization Name:BEST DRUG STORE OF NORTH-CENTRAL ARKANSAS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:BRYANT
Authorized Official - Suffix:JR
Authorized Official - Credentials:PD
Authorized Official - Phone:870-269-4329
Mailing Address - Street 1:PO BOX 498
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:AR
Mailing Address - Zip Code:72560-0498
Mailing Address - Country:US
Mailing Address - Phone:870-269-4329
Mailing Address - Fax:870-269-4722
Practice Address - Street 1:100 CASE COMMONS DR
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:AR
Practice Address - Zip Code:72560-5016
Practice Address - Country:US
Practice Address - Phone:870-269-4329
Practice Address - Fax:870-269-4722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-07
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARAR20579332B00000X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARAR20579OtherPHARMACY
ARFB0751227OtherDEA